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Organization
HOME HEALTH AIDE
Active
Organization
HOME HEALTH AIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE DENISE COBB CNA (CERTIFIED NURSING ASSISTANT)
(757) 722-4504
Entity
Organization
Contact information
Practice address
625 NEWPORT NEWS AVE, HAMPTON, VA 23669-3930
(757) 722-4504
Mailing address
625 NEWPORT NEWS AVE, HAMPTON, VA 23669-3930
(757) 722-4504
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
1401009775
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1401009775
CERTIFIED NURSING ASSISTANT
VA
Enumeration date
06/14/2013
Last updated
06/14/2013
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